Module 7 ch55 (2nd-31-40) test bank

A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next?

• Obtain a swab for culture.

• Assess the characteristics of the lesion.

• Obtain a swab for pH testing.

• Apply a test dose of broad-spectrum topical antibiotic.

The nurse is performing a comprehensive assessment of a patient's skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way?

• By examining the patient under a Woods light

• By inspecting the patient's skin in direct sunlight

• By palpating the patient's skin

• By performing percussion of major skin surfaces

A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When reviewing the patient's health history, the nurse should identify what comorbidity as increasing the patient's vulnerability to skin infections?

• Chronic obstructive pulmonary disease

• Rheumatoid arthritis

• Gout

• Diabetes

A patient with human immunodeficiency virus (HIV) has sought care because of the recent development of new skin lesions. The nurse should interpret these lesions as most likely suggestive of what?

• A reduction in the patient's CD4 count

• A reduction in the patient's viral load

• An adverse effect of antiretroviral therapy

• Virus-induced changes in allergy status

Assessment of a patient's leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?

• Keloid

• Ulcer

• Fissure

• Erosion

A new patient presents at the clinic and the nurse performs a comprehensive health assessment. The nurse notes that the patient's fingernail surfaces are pitted. The nurse should suspect the presence of what health problem?

• Eczema

• Systemic lupus erythematosus (SLE)

• Psoriasis

• Chronic obstructive pulmonary disease (COPD)

A patient's health assessment has resulted in a diagnosis of alopecia areata. What nursing diagnosis should the nurse most likely associate with this health problem?

• Chronic Pain

• Impaired Skin Integrity

• Impaired Tissue Integrity

• Disturbed Body Image

A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching. The nurse knows that this is indicative of what strength reaction?

• Weak positive

• Moderately positive

• Strong positive

• Severely positive

A dermatologist has asked the nurse to assist with examination of a patient's skin using a Woods light. This test will allow the physician to assess for which of the following?

• The presence of minute regions of keloid scarring

• Unusual patterns of pigmentation on the patient's skin

• Vascular lesions that are not visible to the naked eye

• The presence of parasites on the epidermis

A patient presents at the dermatology clinic with suspected herpes simplex. The nurse knows to prepare what diagnostic test for this condition?

• Skin biopsy

• Patch test

• Tzanck smear

• Examination with a Woods light